Impact of a Streamlined Trauma-Focused Smartphone Application on Protocol Compliance and Delivery of Care.
J Surg Res
; 256: 595-601, 2020 12.
Article
in En
| MEDLINE
| ID: mdl-32810658
ABSTRACT
BACKGROUND:
In November 2015, an institution-specific mobile application (app) was created to provide rapid access to trauma protocols. The app was tested, and the results suggested that the app was difficult to use as it linked to web-based databases. In June 2018, the app was redesigned with protocol infographics and algorithms that are available offline, eliminating the need to scroll through web pages. We tested the redesigned app's ability to provide information quickly, in a user-friendly manner.METHODS:
This was a prospective, experimental analysis of a streamlined, institution-specific trauma app. Participants included general surgery residents, advanced practice providers, and attending trauma surgeons. The primary outcomes of measure were time to complete an exam with trauma scenarios and the number of questions answered correctly. The primary exposure of interest was access to the app during the exam.RESULTS:
There were 35 studyparticipants:
17 with the 2018 version of the app to complete the quiz and 18 without app access. The group with access scored higher than those without access (70% versus 50%, P = 0.0005) as well as those with the old version of the app in the 2015 study (70% versus 55%, P = 0.0250). App access eliminated a significant difference in exam scores between residents and attendings that was present without the app.CONCLUSIONS:
A mobile app with offline access to protocol infographics and algorithms gives providers access to recommended practices and may improve delivery of trauma care. The app is helpful to residents and helps bridge the knowledge gap between groups when the app is not available. LEVEL OF EVIDENCE Level III.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Wounds and Injuries
/
Critical Pathways
/
Guideline Adherence
/
Mobile Applications
/
Smartphone
Type of study:
Diagnostic_studies
/
Guideline
/
Observational_studies
Aspects:
Implementation_research
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Surg Res
Year:
2020
Document type:
Article